Department of Physical Therapy, Faculty of Health Care, Takasaki University of Health and Welfare, Takasaki, Japan.
Department of Physical Therapy, Faculty of Rehabilitation, Gunma University of Health and Welfare, Maebashi, Japan.
Geriatr Gerontol Int. 2021 Jan;21(1):39-42. doi: 10.1111/ggi.14092. Epub 2020 Nov 17.
This study aimed to clarify the association between frailty and changes in lifestyle and physical or psychological conditions among community-dwelling older adults affected by the coronavirus disease 2019 countermeasures in Japan.
This cross-sectional study was carried out between 8 May and 12 June 2020 in Japan. Self-reported questionnaires were distributed among 1353 older adults. To assess frailty, we used the frailty screening index. To assess changes in lifestyle and physical or psychological conditions, we developed the Questionnaire for Change of Life (QCL), which comprised five items related to frailty. Cronbach's α was calculated as a measure of internal consistency of QCL. We compared the score for each item in the QCL between the frailty and non-frailty groups. Multiple logistic regression analysis was used to show the factors that affect frailty status.
In total, 856 older adults (63.3%) were analyzed. A total of 83 participants (9.7%) had frailty, and 755 participants (90.3%) had non-frailty. Cronbach's α for QCL was 0.552. We observed a significant decrease in daily movement, leg muscle strength and meal size among older adults with frailty compared with non-frailty (P < 0.001). Subjective leg muscle strength (odds ratio 3.257, 95% confidence interval 2.236-4.746) was negatively correlated with frailty.
We suggest that each individual QCL item should be used in analyses involving the QCL. This report showed that subjective lifestyle changes affected by the coronavirus disease 2019 countermeasures were associated with frailty status. In particular, as older adults were aware of a decrease in their leg muscle strength, they were significantly more frail. Geriatr Gerontol Int 2021; 21: 39-42.
本研究旨在阐明 2019 冠状病毒病对策对日本社区居住的老年人群生活方式和身体或心理状况变化的影响，并明确衰弱与这些变化之间的关系。
本横断面研究于 2020 年 5 月 8 日至 6 月 12 日在日本进行。向 1353 名老年人发放了自我报告问卷。为评估衰弱状况，我们使用了衰弱筛查指数。为评估生活方式和身体或心理状况的变化，我们制定了生活变化问卷（QCL），该问卷包含与衰弱相关的 5 个项目。采用 Cronbach's α 评估 QCL 的内部一致性。我们比较了 QCL 中每个项目在衰弱组和非衰弱组之间的评分。采用多因素逻辑回归分析显示影响衰弱状况的因素。
共分析了 856 名老年人（63.3%）。共有 83 名老年人（9.7%）患有衰弱，755 名老年人（90.3%）无衰弱。QCL 的 Cronbach's α 为 0.552。与非衰弱组相比，衰弱组老年人的日常活动、腿部肌肉力量和进餐量明显减少（P<0.001）。主观腿部肌肉力量（比值比 3.257，95%置信区间 2.236-4.746）与衰弱呈负相关。
我们建议在涉及 QCL 的分析中应使用每个单独的 QCL 项目。本报告表明，2019 冠状病毒病对策引起的个体主观生活方式变化与衰弱状况有关。特别是，随着老年人意识到腿部肌肉力量的下降，他们的衰弱程度显著增加。老年医学与老年健康学杂志 2021；21：39-42。
